Permit A ul ' CITY OF TIGARD PLUMBING PERMIT
1 r& DEVELOPMENT SERVICES PERMIT #: PLM2000 -00131
411 4i111 &
��' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/11/00
SITE ADDRESS: 12447 SW 69TH AVE PARCEL: 2S101AA -TTOOC
SUBDIVISION: TIGARD CORPORATE CENTER ZONING: MUE
BLOCK: LOT: OOC JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS: 1 TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: 2 GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 1
TUB /SHOWERS: 2 SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Plumbing for tenant improvements. Cap /remove two (2) showers, move one (1) sink, water heater and water
cooler, install a 2" floor drain, drinking fountain, commercial sink, two (2) water closets and two (2) urinals.
FEES
Owner:
Type By Date Amount Receipt
SPECHT PROPERTIES PRMT DEB 5/11/00 $115.00 0002077
15400 WE MILLIKAN WAY SPOT DEB 5/11/00 $9.20 0002077
BEAVERTON, OR 97006 PLCK DEB 5/11/00 $28.75 0002077
Total $152.95
Phone 1: 503 - 646 -2202
Contractor:
MACDONALD MILLER OF OREGON INC
5711 SW HOOD
PORTLAND, OR 97201 REQUIRED INSPECTIONS
Underfloor /Underslab
Phone 1: 230 -8991 Top -out Insp
Reg #: LIC 137340 Final Inspection ■
PLM 37 -64P6
k\o
Oio
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987.
Issued B 0 -. Q Permittee Signature: k i /30c %L
Cali (503) 639 -4175 by 7:00 P.M. for aninspection needed the next business day
Plumbing Permit Application Plan Che - f�
A I { OF TIGARD P g Pp
13125 SW MkLL BLVD. Commercial and Residential Rec'd By A. -
IGARD; &R 97223 Date Rec'd 1/ ' O
Date to P.E. -14 .----7 O
503) 639 4171 Date to DST
Print or Type Permit # P a 400
Incomplete or illegible applications will not be accepted Related SW acts -s i
Caled /B
�r i L �55/g4E
Name of Development/Project FIXTURES (individual) . QTY PRICE AMT
- Sink / ' 11.50 //, 5 -
Job T�A� � °� 11.50
• Address Street Address Suite Lavatory
/ 1-4'4'1 ,SW �o 771 Tub or Tub /Shower Comb. 11.50
Bldg # I�- C Zip Shower Only g , 11.50 AO
C I /fit' 9-72zz Water Closet Z t" 11.50 83.00
Nam vELfff Y hwr T1g5 Urinal Z 1 .' , 11.50 a3.00
Owner
Mailing Address Suite Dishwasher 11.50
/6 AA) MA.14144- .) Wigs', Garbage Disposal 11.50 I
City /State Zip Phone Laundry Tray 11.50
� / p!l ��s VS $3v0 Washing Machine/Laundry Tray 11.50
Name I °` 11.50 )
D_ M 'l in uf / 4 SSA � )L:7S / , � , Floor Drain/Floor Sink 2"
OCCU Occupant � M�a!g Address Suite 3" 11.50
P 94 4.. f c v \ 14'1 SL aI.E 11WN. 4" 11.50
City /St to Zip Phone
G�� OK 99vo S� 29'i S3 tov Water Heater O conversion O like kind 11.50
/ Gas piping requires a separate mechanical permit. I //- g
Name MFG Home New Water Service 32.00
MAcb0/141.-0 -- IL4/ MFG Home New San/Storm Sewer 32.00
Contractor Mailing Address Suite 11.50
9111 MVP' Hose Bibs
Prior to permit ity /State Zip hone Roof Drains 11.50
issuance, a copy � 4 � '071 y �8S'9� Drinking Fountain 11.50
of all licenses are Oregon Const. Cont. Board Lic.# Ex p. Dat Other Fixtures (Specify) `, 15.00 �� go
required if �'m bi g Uc. ( E Exp. v W QTEyL Coe7L 72-
expired in COT Plumbing Uc. # Exp. Date
database 3'1 l L{
Name
Architect 140 A #17 -e-T5 Sewer -1st 100' 38.00
or Mailing Address Suite Sewer - each additional 100' 32.00
17-11 4Av7- D Water Service - 1st 100' 38.00 -
Engineer ity/State Zip Phone 32.00
d
Describe work to be done:
3r 91 � - ma - ) D Z r Water Service - each additional 200'
( Storm & Rain Drain - 1st 100' 38.00
New • Repair 0 Replace with like kind: Yes 0 No 0 Storm & Rain Drain - each additional 100' 32.00
Residential 0 Commercial • Commercial Back Flow Prevention Device , 32.00
Additional description of work: Residential Backfiow Prevention Device' 19.00
Catch Basin 11.50
Are you capping, moving or replacing any fixtures? Insp. of Existing Plumbing or Specially Requested 50.00
Yes • No 0 Inspections per/hr
If yes, see back of form to indicate work performed by Rain Drain, single family dwelling 45.00
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50
WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL
I hereby acknowledge that I have read this application, that the information Isomeric or riser diagram is required If Quantity Total is > 9
given is correct. that I am the own or authorized agent of the owner, and .SUBTOTAL //5:6)
that plans submitted are in co liance with Oregon State Laws. ,�,.,,^1l
Signs o Agen () /� 8% SURCHARGE q o6
Contact Person Name I�mo�'� � Phon ^ e
4N Cik►"� (/ `� 111 Required only if nature qty. total is > 9 "PLAN REVIEW 25 °k OF SUBTOTAL
��
i , HOUSE $178.00 . =r - TOTAL
r v „ 1 y .OUSES3b0 tr r ir a 4 i . , 1 �,! f5
�,. OUSE42$00 .yky�t,', i , ' d ` ++.. 3 „ 4 , ,. .�
1,16 CTUd u b ng tititesssn;ihe d dxhe first," , , - Minimum permit fee is 850 + 8% surcharge, except Residential Bacldlow Prevention
%.` -, ta d;: ryy� B RRsewerit4MvaterS@ GB , 'k' =k Device, which is 825 +B% surcharge
"All New Commercial Buildings require plans with Isometric or riser diagram and
plan review.
11dstsVormatplumapp.doe 11116199
■ A
1
PLEASE COMPLETE:
%:.. Fixture Type Quantity by Work Performed
�:. New Moved 1 Replaced Removed /Capped
Sink
Lavatory
•
Tub or Tub /Shower Combination
Shower Only 2-
Water Closet
Urinal
•
Dishwasher
Garbage Disposal
- Laundry Room Tray
Washing Machine
Floor Drain /Floor Sink 2"
3"
4" .
Water Heater 1
Other Fixtures (Specify)
W Arr - e-001.-072__
COMMENTS REGARDING ABOVE:
•
1:ldsts 1pMnapP.doe 11/18199
■
°-
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested ��J 6 0 AM PM BLD
Location 724/4/754.i 6 91' Suite MEC
Contact Person Ph -DU I,/
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation �`
Drywall Nailing &it",0 S/rE / 5-7- .0a/e r DU,/,/
Firewall
Fire Sprinkler _
Fire Alarm
Susp'd Ceiling
M o c f . 5 /L '° ZX$
Final
ART FAIL
P. - - am
.. -
Water Service
Sanitary Sewer
Rain Drains
PART FAIL
HANICAL
s.
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date 5 - 44 (/ Inspector Ext
- Other
Final .
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location / a 1197 « (09 Suite MEC
Contact Person Ph PLM - 120/
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm -
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
UM INS
Post & Beam
Top Out
Water Service
Sanitary Sewer
Rain Drains
cJ F'
PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
-
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA l Approach /Sidewalk Date / / / O C)
Inspector Ext
Other
Final
'PASS PART FAIL DO NOT REMOVE this inspection record from the job site.